How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $7.08 Median $29.51 Typical High $46.77 | Facility | None | $7.08 | $29.51 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
BCBS Arizona Setting Facility Modifier None Typical Low $5.13 Median $23.44 Typical High $35.48 | Facility | None | $5.13 | $23.44 | $35.48 |
BCBS Arizona Setting Professional Modifier None Typical Low $4.79 Median $7.59 Typical High $10.96 | Professional | None | $4.79 | $7.59 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $17.78 Typical High $25.70 | Facility | None | $6.46 | $17.78 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $8.13 Typical High $13.80 | Professional | None | $6.03 | $8.13 | $13.80 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $9.77 Typical High $100.00 | Facility | None | $6.76 | $9.77 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.80 Median $5.25 Typical High $7.41 | Professional | None | $3.80 | $5.25 | $7.41 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.25 Typical High $12.30 | Professional | None | $3.80 | $5.25 | $12.30 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 52 · Reduced service | $3.02 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.23 |
Where Arizona sits
The same service costs 5.9 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 35th of 51
$7.59
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.